MEDICARE: AIDAN LOZANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	BACB650250	OK

General Provider Information

NPI Number	:	1558960930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIDAN LOZANO

Provider Business Mailing Address
First Line	:	2222 W HEFNER RD STE E
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-7622
Country	:	US
Telephone Number	:	405-605-2663
Fax Number	:	405-562-3753

Provider Business Practice Location Address
First Line	:	2222 W HEFNER RD STE E
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-7622
Country	:	US
Telephone Number	:	405-830-1210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2020
Last Update Date	:	09/03/2025

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Directions to “ AIDAN LOZANO ” Practice Location

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